電子病歷交換單張實作指引(EMR-IG)
0.1.0 - ci-build
This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Draft as of 2023-11-20 |
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>實作指引版本：0.1.0</li><li>FHIR版本：4.0.1</li><li>發佈日：2023-11-20</li></ul><h3 id=\"CapabilityStatementEMRServer\">電子病歷交換單張-伺服端</h3><ul><li>電子病歷交換單張-伺服端 <strong>必須(SHALL)</strong></li><ol><li>可透過FHIR RESTful API查詢Resources</li><li>根據FHIR規範實作RESTful</li><li>HTTP回傳狀態碼:<ul><li>(Status 400)：無效參數(invalid parameter)</li><li>(Status 401/4xx)：未經授權的請求(unauthorized request)</li><li>(Status 403)：未充分授權的資料存取範圍(insufficient premission scope)</li><li>(Status 404)：未知的resource(unknown resource)</li></ul></li><li>Server提供的API操作皆支援JSON格式</li><li>可識別每個新增到Server的實例(instance)之<code>meta.profile</code>是否為EMR Profiles Defining URL，並確認實例是否依循profile製作。【註：實例是指依據profile實作，將真實資料以JSON、XML或Turtle格式存放的檔案】</li></ol><li>安全性</li><ol><li>Server必須(SHALL)透過回傳<code>HTTP 401</code>未授權」，<code>HTTP 403</code>「禁止」，或<code>HTTP 404</code>「未找到」，來拒絕任何未經授權的請求。</li></ol><li>系統互動能力：</li><ul><li><strong>可能可以（MAY）</strong>支援交易（<code>transaction</code>）</li><li><strong>可能可以（MAY）</strong>支援批次（<code>batch</code>）</li><li><strong>可能可以（MAY）</strong>支援查詢系統（<code>search-system</code>）</li></ul></ul><h3 id=\"resource-details\" class=\"no_toc\">應用說明</h3><ul><li>此「電子病歷交換單張實作指引(EMR-IG)」中使用的 Bundle type為「document」，根據 HL7 FHIR 中規定，Bundle type為「document」時第一個資源須為Composition，並且將整個Bundle視為一個文件或報告來傳遞資料。但為了未來支援各醫院將 Bundle 轉換為 「transaction」形式儲存個別資源，因此Composition僅作為資料關聯功能，不放置任何欄位內容。</li></ul><h3 id=\"resource-details\" class=\"no_toc\">Resources或Profiles的RESTful功能</h3><ul><li>Profiles</li><ol><li><strong>必須(SHALL)</strong>支援<code>create</code>、<code>update</code></li></ol><li><strong>Resources支援查詢，查詢參數如表列：</strong></li><table class=\"grid\"><thead><tr><th>Resources型別</th><th>Profile</th><th>支援的Profiles</th><th>支援的查詢參數</th></tr></thead><tbody><tr><td><a>Bundle</a></td><td><a href=\"StructureDefinition-BundleDMS.html\">出院病摘 Bundle</a><br/><a href=\"StructureDefinition-PMRBundle.html\">門診病歷 Bundle</a><br/><a href=\"StructureDefinition-InspectionCheckBundle.html\">檢驗檢查 Bundle</a><br/><a href=\"StructureDefinition-ImageBundle.html\">醫療影像報告 Bundle</a><br/><a href=\"StructureDefinition-Bundle-EP.html\">電子處方箋 Bundle</a><br/><a href=\"StructureDefinition-Bundle-DS.html\">調劑單張 Bundle</a></td><td>-</td><td>_id,identifier</td></tr></tbody></table></ul><h4 id=\"bundle\" class=\"no_toc\">Bundle</h4><ul><li>預期的遵從度： <strong>建議應該（SHOULD）</strong></li> <li>Profile：<a href=\"StructureDefinition-BundleDMS.html\">出院病摘 Bundle</a>,<a href=\"StructureDefinition-PMRBundle.html\">門診病歷 Bundle</a>,<a href=\"StructureDefinition-InspectionCheckBundle.html\">檢驗檢查 Bundle</a>,<a href=\"StructureDefinition-ImageBundle.html\">醫療影像報告 Bundle</a>,<a href=\"StructureDefinition-Bundle-EP.html\">電子處方箋 Bundle</a>,<a href=\"StructureDefinition-Bundle-DS.html\">調劑單張 Bundle</a></li><li><a href=\"https://build.fhir.org/codesystem-reference-handling-policy.html#reference-handling-policy-resolves\">支援的參照政策（Reference policy）</a>： <code>resolves</code>，Server會嘗試將邏輯參照（logical reference）解析為文字參照，意即轉換Reference.identifier為Reference.reference（但如果解析失敗，Server仍然會接收這個resource，請參閱<code>logical</code>）。</li><li>Profile</li><ul><ul><li><strong>建議應該（SHOULD）</strong>支援 <code>search-type</code>、 <code>read</code>、 <code>vread</code>、<code>create</code>、 <code>update</code>、 <code>delete</code></li><li><strong>可能可以（MAY）</strong>支援 <code>patch</code></li></ul></ul><li>查詢參數摘要</li><table class=\"grid\"><thead><tr><th>遵從度</th><th>參數</th><th>類型</th><th>範例</th></tr></thead><tbody><tr><td><strong>建議應該（SHOULD）</strong></td><td><a href=\"SearchParameter-Bundle-id.html\">_id</a></td><td>token</td><td><code class=\"highlighter-rouge\">GET [base]/Bundle?_id=[id]</code>,<br/><code class=\"highlighter-rouge\">GET [base]/Bundle/[id]</code></td></tr><tr><td><strong>建議應該（SHOULD）</strong></td><td><a href=\"SearchParameter-Bundle-identifier.html\">identifier</a></td><td>token</td><td><code class=\"highlighter-rouge\">GET [base]/Bundle?identifier={system|}[code]</code></td></tr></tbody></table></ul></div>"
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"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRClinicalImpressionObjective"🔗 ,
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRClinicalImpressionAssessment"
],
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}
],
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}
],
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]
},
{
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],
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],
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{
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],
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{
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{
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{
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{
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{
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}